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NPI Code Detail

MEDICARE: OSAGE NURSING, LLC

MEDICARE: OSAGE NURSING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityN070003KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881692572
Entity Type Code : Organization
Provider Name (Legal Business Name) : OSAGE NURSING, LLC
Provider Business Mailing Address
First Line : 1017 MAIN ST
Second Line :
City : OSAGE CITY
State : KS
Zip : 66523-1249
Country : US
Telephone Number : 785-528-3138
Fax Number : 785-528-4895
Provider Business Practice Location Address
First Line : 1017 MAIN ST
Second Line :
City : OSAGE CITY
State : KS
Zip : 66523-1249
Country : US
Telephone Number : 785-528-3138
Fax Number : 785-528-4895
Authorized Official
Title or Position : TREASURER
Name : MR. KYLE SCHADE
Credential :
Telephone Number : 573-471-1113
Provider Enumeration Date : 07/07/2005
Last Update Date : 05/24/2022

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Directions to “OSAGE NURSING, LLC ” Practice Location

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